Nohomovich Brian, Tito Emmanuel, Terrio Michael, Belardo Matthew
Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
BMJ Case Rep. 2023 May 15;16(5):e253467. doi: 10.1136/bcr-2022-253467.
We report a case of severe, life-threatening lithium toxicity in a patient with bipolar I disorder who presented with altered mental status and acute renal failure. At admission, serum lithium level was well above toxic levels (>2 mEq/L). The signs and symptoms of lithium toxicity significantly improved after treatment with continuous veno-venous haemodialysis (CVVHD). The patient was discharged with no neurological or renal sequelae. Herein is the first case report using the Tablo CVVHD system to treat severe lithium toxicity.
我们报告了一例患有双相 I 型障碍的患者出现严重的、危及生命的锂中毒，该患者表现为精神状态改变和急性肾衰竭。入院时，血清锂水平远高于中毒水平（>2 mEq/L）。经连续性静脉 - 静脉血液透析（CVVHD）治疗后，锂中毒的体征和症状明显改善。患者出院时无神经或肾脏后遗症。本文是首例使用 Tablo CVVHD 系统治疗严重锂中毒的病例报告。
